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Contact Information

DIGESTIVE DISEASE CLINIC PC
18320 FARMINGTON RD
LIVONIA, MI48152
 Phone: 248-476-6100
 Fax: 248-471-6452
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for DIGESTIVE DISEASE CLINIC PC · (Female)

NPI Number 1043572563
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2012
Last updated 10/12/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301033455
  • MI Medicaid 102699892
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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